JENNIFER SUSAN BOOTH

PORTLAND, OR
NPI1598076986
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: OR  L5558)
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2010-06-30
Last Update Date2022-11-18
Business Address
JENNIFER SUSAN BOOTH MSW
412 SW 12TH AVE
PORTLAND, OR 97205-2329
Phone number: 503-501-5667
Mailing Address
JENNIFER SUSAN BOOTH MSW
412 SW 12TH AVE
PORTLAND, OR 97205-2329
Phone number:
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